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Individual

DR. MARITZA I DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
9110 RAILROAD DR STE 201, MANASSAS PARK, VA 20111-7041
(703) 365-0230
Mailing address
9172 LAUREL HIGHLANDS PL, MANASSAS, VA 20112-5857
(787) 557-2704
(787) 720-7895

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411863
VA

Other

Enumeration date
09/22/2006
Last updated
06/15/2021
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